COCT_MT260012CA
Issue Event managed-basic |
Derived from RMIM: _ and HMD: _ |
| |
| DetectedIssueEvent | Design Comments: This is the list of clinical and business issues that have been detected and recorded involving the current action.
Rationale: Provides a list of issues that have been detected and/or managed. |
classCode [1..1] (M)
Observation (CS) {CNE:C:ActClass:ALRT, fixed value= "ALRT"} | |
moodCode [1..1] (M)
Observation (CS) {CNE:C:ActMood:EVN, fixed value= "EVN"} | |
code [1..1] (M)
Observation (CV) {CNE:V:ActDetectedIssueCode} | Design Comments: A coded value that is used to distinguish between different kinds of issues. Types of issue include: unrecognized identifiers, permission issues, drug-drug contraindications, drug-allergy alerts, duplicate therapies, etc.
Rationale: Identifies what kind of issue was detected or is being managed.This is mandatory so as to ensure that one issue type can be distinguished from another.
Mapping: Contraindication.crossSensitive (if code is related reaction dected issue then crossSensitive is 'True')
Mapping: Distinguishes between DAI, DDI, DosageCheck, DPD, and Duplicate Therapy Contraindications
Mapping: Contraindication.DosageContraType
Mapping: OverrideReason.reasonDomain
Mapping: ZP3.3
Mapping: E06(for contraindications errors are handled at transmission or controlAct wrapper level)
Mapping: 05.03D
Mapping: DUR Response Codes
Mapping: Interaction Type
Mapping: ZPS.7.1
Mapping: ZDU.9.1(PLYPHRM)
Mapping: ZDU.10.1 (PLYDOC)
Mapping: ZDU.6.2
Mapping: ZDU.6.4
Mapping: ZDU.7.3
Mapping: DRU.100-01
Mapping: DUR/PPS.439-E4
Mapping: A_DetectedMedicationIssue |
text [0..1]
Observation (ST) | Design Comments: A free form textual description of a detected issue. This textual information is provided to either augment the coded information or in place of the coded information.
Rationale: Lets providers see textual explanation of the issue.
Mapping: Contraindication.DDIDescription
Mapping: E20(for contraindication errors are handled at transmission or controlact wrapper level)
Mapping: ZPE.4
Mapping: ZDU.11.1 |
statusCode [1..1] (M)
Observation (CS) {CNE:C:ActStatus:completed, fixed value= "completed"} | |
priorityCode [1..1] (M)
Observation (CV) {CNE:D:ActIssuePriority} | Design Comments: A coded value denoting the importance of a detectable issue. Valid codes are: I - for Information, E - for Error, and W - for Warning.
Rationale: Allows the provider to make informed decision on the importance and criticality of an issue. May also be used by the DIS to determine the order of returning issues. Attribute is mandatory because every issue needs to be prioritized. |
targetSiteCode [0..5]
Observation (SET<ST>) | Design Comments: Used to identify XPath references that indicate which attributes from the message instance were involved in the issue. |
| mitigatedBy [0..25] (Mitigates) | Design Comments: Indicates how the issue has been managed.
Rationale: Allows issues to be overridden and provides for enhanced clinical communication about issues. |
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| Mitigates | Design Comments: Indicates how the issue has been managed.
Rationale: Allows issues to be overridden and provides for enhanced clinical communication about issues. |
typeCode [1..1] (M)
ActRelationship (CS) {CNE:C:ActRelationshipType:MITGT, fixed value= "MITGT"} | |
contextControlCode [1..1] (M)
ActRelationship (CS) {CNE:C:ContextControl:ON, fixed value= "ON"} | |
contextConductionInd [1..1] (M)
ActRelationship (BL){fixed value= "false"} | |
| detectedIssueManagement [1..1] (DetectedIssueManagement) | Design Comments: The processes and procedures employed by providers to resolve clinical and business issues between the action being performed and additional information already in the patient's record or system business rules.
Rationale: It allows overriding of the detected issue
Mapping: A_DetectedMedicationIssue |
| |
| DetectedIssueManagement | Design Comments: The processes and procedures employed by providers to resolve clinical and business issues between the action being performed and additional information already in the patient's record or system business rules.
Rationale: It allows overriding of the detected issue
Mapping: A_DetectedMedicationIssue |
classCode [1..1] (M)
Act (CS) {CNE:C:ActClass:ACT, fixed value= "ACT"} | |
moodCode [1..1] (M)
Act (CS) {CNE:C:ActMood:EVN, fixed value= "EVN"} | |
code [1..1] (M)
Act (CV) {CNE:V:ActDetectedIssueManagementCode} | Design Comments: Indicates the kinds of management actions that have been taken, depending on the issue type.
Rationale: Ensures consistency in description of management actions.This is mandatory so as to ensure distinction between different kinds of management.
Mapping: ManagedContraindication.State
Mapping: OverrideReason.reason
Mapping: D65(when dealing with clinical indication overrides, otherwise use overrides in ControlAct wrapper.
Mapping: ZPB3.10
Mapping: Intervention Codes
Mapping: ZPS.8
Mapping: ZPS.15
Mapping: ZDP.21.1
Mapping: DRU.100-02
Mapping: DRU.100-03
Mapping: DUR/PPS.440-E6
Mapping: DUR/PPS.441-E6
Mapping: Claim.420-DK
Mapping: A_DetectedMedicationIssue |
text [0..1]
Act (ST) | Design Comments: Additional free-text details describing the management of the issue.
Rationale: Allows additional clinical detail to be conveyed that are important clinically and not conveyed by the code. |
statusCode [1..1] (M)
Act (CS) {CNE:C:ActStatus:completed, fixed value= "completed"} | |
| author [1..1] (Author1) | Design Comments: Identifies the provider who managed the issue.
Rationale: Part of the audit record and therefore mandatory.
Mapping: OverrideReason.provider
Mapping: ManagedContraindication.provider
Mapping: A_DetectedMedicationIssue |
| |
| Author1 | Design Comments: Identifies the provider who managed the issue.
Rationale: Part of the audit record and therefore mandatory.
Mapping: OverrideReason.provider
Mapping: ManagedContraindication.provider
Mapping: A_DetectedMedicationIssue |
typeCode [1..1] (M)
Participation (CS) {CNE:C:ParticipationType:AUT, fixed value= "AUT"} | |
time [1..1]
Participation (TS.FULLDATETIME) | Design Comments: The date and time on which the provider managed the issue.
Rationale: Part of the audit record, but not always available and therefore 'populated'.
Mapping: ManagedContraindication.CreationDate |
| assignedEntity [1..1] (R_AssignedPersonIdentified-confirmable) | |